Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $234.42	Professional		$16.98	$33.88	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $54.95	Professional		$38.02	$53.70	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $52.48	Professional		$47.86	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $60.26	Facility		$36.31	$36.31	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $93.33	Professional		$36.31	$63.10	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $251.19	Facility		$43.65	$75.86	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $53.70	Professional		$17.78	$32.36	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $134.90	Professional		$58.88	$58.88	$134.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $134.90	Professional		$74.13	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $43.65	Facility		$19.95	$38.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $42.66	Professional		$19.50	$26.92	$42.66